Pulmonary Embolization Following Urethrography with an Oily Medium

Ulm, Aaron Hardy; Wagshul, Ely C.

doi:10.1056/nejm196007212630307

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…RUG is used for adequate demonstration of anterior urethral stricture. Instilling contrast under pressure can lead to extravasation or intravasation of contrast material exposing the patient to risk of bacteremia, sepsis, contrast reactions, and embolism especially if oil-based contrast is used [1][2][3]. Dense contrast intravasation has potential to induce fibrosis in the erectile tissue of penis.…”

Section: Discussionmentioning

confidence: 99%

Retrograde Urethrogram or a Venogram? Be Careful Next Time

2012

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Retrograde urethrogram is employed for adequate demonstration of anterior urethral stricture and is commonly performed by trainee residents. Not uncommonly, contrast is injected under pressure to overcome the resistance of a stricture which can lead to extravasation or intravasation exposing the patient to risk of bacteremia, sepsis, contrast reactions, and worsening of stricture. We report two such cases of extensive intravasation delineating the "venogram" of peno-pelvic venous arcade. Such rare occurrences highlight the importance of eliciting history of various allergies and asthma, urethral instrumentation, obtaining sterile urine before the study, and performing the study under dynamic fluoroscopy.

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Section: Discussionmentioning

confidence: 99%

Retrograde Urethrogram or a Venogram? Be Careful Next Time

2012

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“…Intravasation of contrast media may lead to introduction of uropathogens into the circulation resulting in bacteraemia or even sepsis 1 2. The other complications of urethro-venous intravasation include contrast nephropathy, allergic reactions to contrast media3 and pulmonary oedema 4. It is necessary to take the history of previous urethral trauma, urethral instrumentation and allergy prior to performing an RUG.…”

Section: Descriptionmentioning

confidence: 99%

Urethro-venous intravasation: a rare complication of retrograde urethrogram

et al. 2016

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“…of that preparation and 5 c.c, of hyperbaric Lipiodol with the water-soluble medium. This creates an "opaque sandwich," with oily media above and below the watersoluble material, affording the advantages of oily media for visualization of the urethra without the dangers and disadvantages associated with their use in ascendant urethrography (2,3).…”

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confidence: 99%